Provider Demographics
NPI:1437840972
Name:FIREFLY HOME HEALTH & HOSPICE, LLC
Entity Type:Organization
Organization Name:FIREFLY HOME HEALTH & HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/NURSING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODWIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-408-6654
Mailing Address - Street 1:8126 FM 512
Mailing Address - Street 2:
Mailing Address - City:WOLFE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75496-2488
Mailing Address - Country:US
Mailing Address - Phone:903-408-6654
Mailing Address - Fax:903-408-6695
Practice Address - Street 1:8126 FM 512
Practice Address - Street 2:
Practice Address - City:WOLFE CITY
Practice Address - State:TX
Practice Address - Zip Code:75496-2488
Practice Address - Country:US
Practice Address - Phone:903-408-6654
Practice Address - Fax:903-408-6695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based